05D0952861 CLIA NUMBER - CERRITOS COLLEGE STUDENT HEALTH & WELLNESS

Laboratory Demographics

CLIA Number: 05D0952861

Facility Name: CERRITOS COLLEGE STUDENT HEALTH & WELLNESS

Facility Address:
11110 EAST ALONDRA BOULEVARD
NORWALK, CA
ZIP 90650
Get Directions

Facility Phone Number: 562 860-2451

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1225299860

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0952861
LAB Type	School/Student Health Service
Facility Name	CERRITOS COLLEGE STUDENT HEALTH & WELLNESS
Street	11110 EAST ALONDRA BOULEVARD
City	NORWALK
State	CA
ZIP	90650
Phone	562 860-2451
CertificateType	4
CertificateEffectiveDate	10/20/2022
CertificateExpirationDate	10/19/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024